Still, confidence in CER's potential increases with the time horizon: Nearly a third (31%) of respondents said CER will have a "moderate improvement" on health care decision making over the next 12 months, which is unchanged from last year.

The brief outlines a number of major factors found by NEHI research that could influence the creation of a coherent and effective CER dissemination strategy, including: existing and anticipated hurdles to CER dissemination; new trends in healthcare improvement that are potential drivers for CER dissemination; and policy choices for optimizing CER dissemination.

A PhRMA-funded lobbying group called the Partnership to Improve Patient Care was created to attempt to influence the debate and--while ostensibly supporting CER--wants to insure that CER treatment comparisons don't consider cost factors.

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